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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~,,,~ G,_,:b1~ <br />NPDES ID. No.:CO-0000213 008 <br />Date: ~~--'LI-,2oop <br />Date Last Inspected: g-'ZZ-. tooc~ <br />Facility Configuration:Cross Valley Pond <br /> Site Name: Impoundment #008 Location:97N15W6 <br /> Mine Name: New Horizon Mine Location:2 mi.NW of Nucla, CO. <br /> <br /> Mine ID No.: CMLRD Permit #0008-81 <br /> Owne rs Rep.: R. L. Wade, Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br /> 1. Foundation Preparation (removal of vegetation, stumps., topsoil) ~ No N/A <br /> 2. Lift thickness (inches) <br /> 3. Compaction according to approved plan ~ No N/A <br /> 9. Burning (specify extend and location) Yes ~lo~~ N/A <br /> 5. Angle of slope: 3:1 upstream, 3:1 downstream <br /> 6. Seepage (specify location, color, and approx. volume) <br /> a.) FTOm ands rd rain pipes: Yes ~ N/A <br /> b.) At isolated points on embankment slopes: Yes P7 N/A <br /> c) At natural hillside: Yes CMU~. N/A <br /> d) Over widespread areas Yes ® N/A <br /> e) From downsteam foundation area Yes Q N/A <br /> f) "Boils" beneath stram or ponded water Yes ~ N/A <br /> 7. Cracks of Scarps on crest Yes No N/A <br /> 8. Cracks or scraps on slope Yes ~ N/A <br /> 9. Sloughing or bulging on slope Yes ~q N/A <br /> 10. Major erosion problems Yes ®o N/A <br /> 11. Surface movements in valley bottom or on hillside Yes ® N/A <br /> 12. Erosion of toe Yes Ng N/A <br /> 13. water impounded against toe Yes Ng. N/A <br /> / <br /> 19. Existing embankment freeboard (feet) ~ Feet <br /> 15. Cracks, bulging, or erosion on upsteam face Yes ~. N/A <br /> 16. Visible sumps or sinkholes in slurry surface Yes ~ N/A <br /> 17. Clogging <br /> a) Spillway channels and pipes Yes ® N/A <br /> b) Decant system Yes ® N/A <br /> c) Diversion Ditches Yes ® N/A <br /> 18. Cracking or crushing of pipes <br /> a) Spillway pipes YeS ~ N/A <br /> b) Decant system Yes ^ <br />^ <br />`~ N/A <br /> 19. Trash racks clear and in place Yes N~ N/A <br /> ~sG~~•54 a~~,~5 ~.~ra~. <br />~ <br /> 5~~« \~ra~s.~ c..,,.5 <br />~ ~ ~S <br />o.. <br />c:\data\wpdata\damform.doc <br />Z z. f , 2 a'~ <br />